Differential diagnosis and investigations
Endodontic induced bone loss as well as the possibility of traumatic occlusion was considered. However, further investigations and consultations have rules out those factors.
Periodontal Diagnosis: The patient was diagnosed with periodontitis stage 3 grade B with a molar incisor pattern17 (formerly localized aggressive periodontitis),18 with RT 2 recession on the lingual of teeth #33–43 and buccal of tooth #34, and altered passive eruption of the maxillary incisors.